Have erectile dysfunction, large testicle and lower abdominal pain. How to get cured?

Answered by

Question: Dear Sir,
I m 30, married, so far married life is good. Since my my childhood, i observe that, my testicle is much larger than what it should be.. looks quite big and odd. but so far have no problem. When i touch it have no pain also. But last two day back i had a bit of hectic journey.. during journey had mild pain in my lower abdomen. but it goes off wen i stretch my self backward. Further i had motion 4 times on that day. Now i am back to work.. no pain as observed earlier is there. Things look normal.

Further, since 15-20 days, during intercourse i loose my erection so fast and some time during intercourse i get mild pain in lower abdomen. however, it goes off once i take bit rest. but worry is not having long erection as it was earlier. Is it ED or anything else? what should i do...Further would like to clarify that i have no sugar problem. my height is 183 cms and weight is 100 KG.

Pls help. looking forward for your reply

Answered by Dr. Jonas Sundarakumar 1 hour later

Hello and welcome to Healthcare Magic. Thanks for your query.

Your seem to be having a mild erectile dysfunction problem. This is the most common sexual problem in men. Now, erectile dysfunction can be due to medical causes as well as psychological causes. So, regarding management of this problem, firstly, any medical causes (like diabetes, hormonal disorders, blood flow problems, etc.) need to be ruled out. But in your case, you mention that you don't have any known medical problems and that your sugars are normal. Moreover, this problem has been there only for a few days and so, this is very likely to be only a temporary problem.

You have said that you keep kaving some abdominal pain during intercourse. You have also had some recent episodes of loose stools. So, it could be possible that you may be having some gastric problem which is causing these symptoms. Now, whenever there is physical pain or discomfort, this can interfere with sexual activity and can sometimes result in erectile dysfunction. Since you say that you are able to get a good erection and engage in sexual intercourse, but you tend to lose it inbetween. So, it is unlikely that you have a major problem like a vascular or hormonal problem causing this.

I would also like to let you know that in more than 80% of cases of erectile dysfunction, psychological factors also play a major role in causing or aggravating the problem. Performance anxiety, feelings of sexual inadequacy, self-doubts, relationship problems and poor communication / understanding with the partner, etc. can all affect sexual functioning and performance.

Often there is an interaction between physical and psychological causes. For example, if there has been a problem with erection once due to some mild physical problem, the person gets very anxious about and starts doubting his future sexual performance. Subsequently, during the next few sexual performances, this anxiety and self-doubt itself will lead on to further erectile dysfunction. Soon, this becomes a viscious cycle and the problem becomes worse. So, removing the person's doubts and fears, and improving his self-confidence levels will also definitely help in improving sexual performance.

Since your problem has been there only for a few days, I would advise you not to worry much about it. If your abdominal pain is recurrent, then it's advisable to get it checked out and treated. Importantly, don't become too anxious or worried about this. I feel that your erectile dysfunction problem is only mild and temporary. If necessary, you can try medication like Tadalafil (Megalis), for a few days, which will improve erection. As your gastric problem settles down completely and as your anxiety decreases, your sexual problem should also become alright soon.

I am happy see your reply, thank you so much. However, my Ed only replied.. my testicle problem is not attended. pls read the same as it was in my question. also let me know what should i do to have better erection...
one more thing would like share... some kind sound comes out of my stomock.. just like water shaking sound.. once or twice a day.. it not making any pain or anything.. pls let me knw what is it in detail...thank u

Answered by Dr. Jonas Sundarakumar 18 hours later

Hello again,

Regarding your testicular problem, there can be wide variations in testicular size between persons. But if you feel that it is disproportionalely large, then the possibilities to be considered are a congenital varicocele (enlargement of the veins surrounding the testes) or congenital hydrocele (fluid collection around the testicular sac), since you have had this problem from childhood. This diagnosis can be confirmed by having a physical examination done by a doctor, and sometimes, an ultrasound is required. Even, if this is the diagnosis, treatment is not absolutely necessary. Usually treatment is considered only if the person has any pain or discomfort or any other symptoms. Definitive treatment for both these conditions is surgical.

Regarding your stomach sounds, they may be due to an acidity problem where there may be excess gas formation and during the process of stomach movements, this could be resulting in the gurgling sounds. You can tackle this problem by following strict timings for your meals, avoiding oily and spicy foods and taking more of fibre-rich foods like XXXXXXX vegetables.

Regarding getting a better erection, I would give you the following suggestions:

1) Firstly get rid of any thoughts that you may be sexually inadequate or any doubts that you may not be able to perform properly. Like I mentioned before, performance anxiety, feelings of sexual indequacy and self-doubts can all affect sexual functioning and performance. Remember that sex is not just a physical act but also a psychological process involving an expression of emotions, intimacy and love. So, just involve yourself in those feelings and stop focussing on your "performance" alone. Once you do that, then I assure you that your sexual performance will automatically improve.

2) Another common problem responsible for erections getting weak and early ejaculation is inadequate sexual arousal. When the person is not properly aroused, the blood flow to the penis is not maximal, and so, after a few strokes, the erection weakens. The way to tackle this is not to rush into intercourse quickly, but wait till you get fully aroused. So, increase and spice-up your foreplay. Make sure that you initiate penetration only after both of you are fully turned on. Good foreplay not only arouses you but also sparks off the mood in your partner. So, when she is also aroused and involved, then things keep flowing smoothly and effortlessly, and you don't have to be constantly anxious if you are satisfying your partner or not.

3) Improve your communication with your partner - this means both verbal as well as non-verbal communication. Each person has his or her own ways of getting sexually aroused or feeling sexual pleasure. So, this verbal and non-verbal communication will let each of the partners understand each other's needs and thereby make sex both relaxing and enjoyable.

4) Distract yourself stop "monitoring" your sexual performance. Try putting on some romantic music or mild lighting while you make love. Think about the things that turn you on. Taking your mind off of your sexual performance can remove the worries that are stopping you from getting excited.

5) You can try medication which can improve the blood flow to the penis and promote better erection, such as Sildenafil or Tadalafil.

It is also important to eat a healthy & balanced diet, exercise regularly and try to stay positive and stress-free.

Thank you so much for the answer. I am glad to see your solutions. I am sure i can implement that. I want ask you final question..taking Sildenafil or Tadalafil tablet will cause any problem as you know i am having mild gastric problem. If I have to take these tabs, how to take it.. daily one or how many.. after food or before... Pls advise. Thank u so much ...

Regards,

XXXXXXX

Answered by Dr. Jonas Sundarakumar 2 hours later

Hi XXXXXXX,

I'm glad that my advise is useful to you. With this self-confidence, and by following the suggestions, I'm sure your problems are going to subside very soon.

Now, regarding these medicines, they do not have any major or worrying side effects. Some people may experience temporary heaviness of the head or nasal stuffiness for a few hours after taking these medication, but this is harmless and will settle down on its own after some time. Between the two medicines, Tadalafil is a better choice, since it has a longer duration of action of about 2 to 3 days. So, one tablet's effect will be there upto 3 days. Usually the dosing is as per a need basis (i.e. to be taken during days of intended sexual intercourse) and it doesn't have to be take everyday. It is best taken after food (to avoid any gastic irritation) and about 1 hour prior to intended sexual activity.

Hi Doc. I have a bloodclot in my brain, caused by a major stroke, causing problems with my vains not getting enough oxygen to my brain. Does have severe sleep apnee. Do I need to go for the brain op to remove the clot, as it is giving me strong headaches and short memory. I have learnt there is risks involved?

Hello Doctor, My name is Careyanne Johnson I am a 21 year old female. I am growing concerned with my well being because I have been experiencing some foreign symptoms. Starting with today the right side of my mouth has been partially numb for going on several hours now & I am having throbbing headache that comes and goes behind the back of my lower head & temples. Just a couple days ago my toes (on the right side again) were numb as well. I have also been having sharp, deep chest pains for a few months now. At first I thought it could maybe be heart burn but realized it is a much different ache. I think its safe to say the chest pains have grown more frequent because I m counting them every day now instead of once or twice a week. The only other symptoms I can think of is my ears will ring every now and then but still more so then I would think is normal. & I feel like I have poor circulation to my legs cause sometimes they feel stiff, however I also have a job where I stand without sitting for up to 8 hours a day. I have had Health issues in the past where I would become very light headed, my vision would go black, and I sometimes would faint. the fainting spells never lasted more then 5 mins. I was only unconscious for 30 seconds to 1 min. I have seen a neurologist and he conducted many tests, an MRI or brain scan being one of them. My results were all negative. The dr. did refer me to a cardiologist that I never went to. My fear is I may have a stroke or heart attack please help!

The question is about my son. 18 yr old athlete. He was lifting weights doing an overhead press. He felt a pop or crack in his neck and some pain. very soon after that he got a Migrane headache. He has got them before when he didn t have good sleep habits. This Migrane seemed stronger than previous ones but he did not throw up. The next day he woke up with a very sore neck and numbness on the left side of his body. The numbness was in the back of his arm and down his leg. We took him to the hospital and he started a bunch of tests. MRI s, Echo, ect. Things they found were. The possibility of two very small dots on the occiptial lobe of the brain which they said could be there and if so could represent a stroke but also could not really be there. They said he has Chiari Type 1 which could be the cause. They don t believe there has been a disection of arteries in the neck according to MRI s. He did not have a PFO. We left the hospital yesterday with a wide range of possibilities from very scary to no big deal. He continues to have numbness in his left arm and leg. Also he hasn t had a stool movement for a couple of days which is atypical. My questions are 1. If its just a pinched nerve then how long would the numbness typically last. 2. from looking at the information on the web is it possible he had a Sporadic Hemiplegic Migraine (SHM) and if so how long does the numbness usually last in those cases. 3. Does the Chiari have an effect on the nervous system after an injury. The web seems contradictory in this area. 4. Can a stroke or mini stroke be associated with a minor neck injury. 5. How do we know if the chiari is affecting his nervous system. My son is a college football player and its a big part of his life. So this has the family very concerned.

hello doctor, while I was on my vacation in India I had a stroke there. I was standing in my balcony at that time and my mother called me from behind, as soon as I turned back I fell to ground. I regained my senses after around 35 40 minutes and I didn t remember what happened to me at that time. my whole body shock for few minutes with a liquid coming out of my mouth. All the scans(MRI, ECG, EEG) were done as per directed by doctors there. After the results they told me about having a clot in my brain because of high cholesterol levels. I am taking crestor 10 mg with aspimed 75 mg daily one tab after dinner. Even after having these medicines I am having unbearable head ache sometimes at night and I am not able to sleep properly. Please advice......

My left testicle has been giving me slight pain and discomfort for around a week now. Especially when I lay on my side to go to sleep, it floats substantially in front of my right testicle. When I m standing it is more elevated than my right, and...

All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions